Endoscopy 2021; 53(S 01): S11
DOI: 10.1055/s-0041-1724276
Abstracts | ESGE Days
ESGE Days 2021 Oral presentations
Thursday, 25 March 2021 12:00 – 12:45 Novel concepts in endoscopic repair of GI defects Room 5

Endoscopic Submucosal Fistula Diversion (SFED) After Sleeve Gastrectomy: About one Case

JM Gonzalez
1   Aix-Marseille Univ, APHM, Hôpital Nord, Gastroenterology, Marseille, France
,
M Barthet
1   Aix-Marseille Univ, APHM, Hôpital Nord, Gastroenterology, Marseille, France
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    We propose submucosal fistula endoscopic derivation (SFED) in the treatment of refractory fistula. She had two LSG in 2015 hand 2019, complicated by fistula treated by endoscopic drainage. A long fistulous gastro-cutaneious path was persisting, with a permanent purulent flow. The procedure was: creation of two 4 cm sub-mucosal tunnels in each part of the fistula’s orifice; guidewire placement within both tunnels; covered SEMS placement into tunnels.

    There were no complications. The flow stopped with a healing of the skin at 3 months. At 6 months, the endoscopy showed spontaneous migration with a closure of the primary orifice.

    Citation: Gonzalez JM, Barthet M. OP16V ENDOSCOPIC SUBMUCOSAL FISTULA DIVERSION (SFED) AFTER SLEEVE GASTRECTOMY: ABOUT ONE CASE. Endoscopy 2021; 53: S11.


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    Publication History

    Article published online:
    19 March 2021

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